Individual
LIZABETH R HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
763 REDMAN ST, CHUBBUCK, ID 83202-2673
(208) 705-0962
Mailing address
763 REDMAN ST, CHUBBUCK, ID 83202-2673
(208) 705-0962
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
ID
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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